Fredrick J. Platt, Dds, Pllc
LBN: Fredrick J. Platt, Dds, Pllc
Fredrick J. Platt, Dds, Pllc is an health care organization with primary practice located at 2020 Lindbergh Dr , Tyler TX 75703-1714. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Durable Medical Equipment & Medical Supplies. Dental Providers / General Practice is the primary health care specialty.
Fredrick J. Platt, Dds, Pllc can be contacted via phone (903) 592-7111, or through Platt, Fredrick Joseph via phone (903) 592-7111.
Contact Information
Primary practice address
2020 Lindbergh Dr
Tyler TX 75703-1714
Phone: (903) 592-7111
Fax: (903) 535-9210
Website:
Authorized official contact:
Name: Platt, Fredrick Joseph Doctor of Dental Surgery (DDS)
Phone: (903) 592-7111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 25670 | Texas |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1417211525 |
|---|---|
| LBN Legal business name | Fredrick J. Platt, Dds, Pllc |
| DBA Doing business as | |
| Authorized official | Platt, Fredrick Joseph Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2012 |
| Last updated | Jun 6th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417211525 | NPPES |
| Texas | MEDICAID | 3153009-02 | |
| Texas | MEDICAID | 3153009-01 |
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